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Permit r n CITY OF TIGARD PLUMBING PERMIT I: COMMUNITY DEVELOPMENT Permit #: PLM2013 -00158 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/23/2013 Parcel: 1S133DA05200 Jurisdiction: Tigard Site address: 12760 SW GLACIER LILY CIR Project: Liebreich Subdivision: AMART SUMMER LAKE Lot: 74 Project Description: Installation of backflow preventer. Note: Double permit fees per inspector on 5/14/2013 for work done prior to permit issuance. Contractor: SUNRISE LANDSCAPE SERVICES Owner: LIEBREICH, HOWARD 26085 SW CHEHALEM RD 7755 SW WILSON AVE SHERWOOD, OR 97140 BEAVERTON, OR 97008 PHONE: 503 - 538 -2386 PHONE: FAX: 503 - 538 -6867 FEES Quantity Description Date Amount 73 Plumbing Permit 05/23/2013 $72.50 Specifics: g 12% State Surcharge - 05/23/2013 $8.70 Plumbing Type of Use SF 73 Investigation Fee (equals 05/23/2013 $72.50 Class of Work: OTR Plumbing Permit) 9 Investigation Plumbing 12% 05/23/2013 $8.70 Type of Const: State Surcharge Occupancy Grp: Stories: Total $162.40 Required items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ie w Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. 05/22/13 04:25PM HP LASERJET FAX p.01 ji mp111 Yermrt A neat 1 �1 Site Utilit I �4 Full 01 ;11(:I'� USE (iNE,Y City of T>i ar(i s MAY 2 2 2013 !let-61+1A R io � ta,v a2e2 � > etmil No,�( aoi3 - OOHS' 1 14 a g ;� � TIUA D I rc(l �x:.,, .. ..,,,.,..., ...............,..,. u,M. _ ._.,. ,..�.� i 13125 SW ball Blvd., Tigard, OR )722:3 is Phone: 503.718.2439 Fax; St) ),. 8 )' Other Permit No AM.) 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" °_•• Des :phial,_.- ..•..,..,..w.. t } a. . l21 Addition /alteration /replacement ra ()titer; I3ackftaw New 1 2-frtnllly dwellings (includes 100 ft. fix cash utility connection) ,,. ^ w,.....,..� .... --- ..�„ . :, •,�;:: I,.., ,�i :rr'.}I fir. .,. �, r. -:, �:�:; " ,,, ,,; ;; a.; ,p •'';F, :y "� ^i "'� =�- r�^ 1 ___ .. ...... __. -•_.•_____..—___- J 6„ I•.,.,, �. li,i „ e.r r . , J! t ,.I "ra' n,l y d�,.'I �;�i;: :,,. „t, ,, ,� �r ,I:If:.cL, ^.: :i l•, c;laa� +,a.la:..,' ,c, ;+', (.,., ,I ,,:,.ti;rr,r J ,r;r'- ;lir ;, Sfli 1 bath I I 1' 1„ I F � 4, ,lr {m guS1l 1 , :diluiWrK.. Ili ,;^ d 1'I R 1 4 ,' tl; I IS1 } ' " u t ( ) ;31 .70 �: u,.d,1l.,i .«.a '. ,, 1 >,iSl� \ �(r q rh.I , , I , �.rr” -- isl I. and 2 tumity dwelling © Commercial/industriCommercial/industrial of R (2) bath 437 78 .. _ 0 _� .,, .,...-- .. .._ . W .... _ W. SFR (3) bath 500.32 Multi-Family --- - -.... - - -- -•--•-- Acccsvory - huih ti n(t ...................,..,V.,.^ .,w,.. ,Y,.,. .- - . Each additional hathlkitchen 25.02 , ❑ Master budder qty (0 Other: bird sprinkler (" tiq tl) Pa c 2 _,,..•. • .....,�, T.I TI"s"r, IF r 2 ",�� I �t?��, yF" i'fy�f, I I iyO "r :lug y '1 it ` ",:' 11 „ r r , : \; .,... - .. i ,. ,• ..................... .. ... -„, . ,,, „_„ ,,, _...,,., „., _ ._.._ _- r � r 1w rIIT•PF, J !?� i l ` ' MlY i l l �S l + r )2� ;ll rllr 'i tiltC lIT1i1L1 � tua�.u S J�.S:4s,1:�LUWn 7 r „ n I . i � I r I I 1, f.. �! ' ) '�i ••-- Job site address: 12740 SW Glacier Lily ( :ircle Catch basin or arca drainw. _-- J 18.76 - -_- -. ...- .-- �.... ".-.u,..•• -. _ .. _.._...._......_. 1)rvwell, leach line, or trench drain 18 76 ('ity /Stater:IP: 'Tigard OR 97223 - - ._..,_,.,, ... .,,.... .„.. „ " .,..,.,. -•-- - -- v__._.____. W ,._- __,- _...",..M..,, .., -- - Footing drain (no, linear fl.; ) Page 2 Suite/bldg./apt. no Project. name: _ -- _ Manufrlettocd hone utilities 50.03 Cross str (/directions to job site; SW Summerlake Dr � � Manholes M w _,. i8.7(i .w „., w,..w.. Bain dutin connector 18.7ri Sanitary sewer (no, linear il,: ) Page 2 ... . . . . ........ .. " . .... .. ".,, .".,...,...._._...__......._._. Storm sewer (no. linear 11.. .., Page 2 Water service (no, linear ft,; „_ ,) Page 2 Subdivision: Lot no,. Flom: or itcm: Tax map/parcel no.: Backilow preventer 1 1,27 T7 -cr ;o;rc:T ,. rdC ,.,1'1' ^5. T... rre Ji1,. Vill`4 ;,.il '(i'r' ,j., S i,it;ai .,1:.�,tr S ,.� :�n�'r")"�',°\'i!%”" .,2 i:” -...1 .. ., • I : .r 6.M. ;, ', ; a , rs Backwater valve 1 ' -r�:e r�'�na' "( ?��f "� ., 4: .�ti1(.�. J„ .r \ ' : 1.r ,.Ir):'v';: lrni.:,' ", ill . ' . i'ii� �l, 4 ,. 'SFr i�' ^ G: � rl I , 1� ..lr. ;), . �t 6 ;,; ; ; . ..,,II . n;'tl:� . . .'r i3OS,11, + rdW{. - 1'1 Tn1SiZi,tl .t.., �i1 71 r 1 t �,� 7a � , r\ Ir .S;n � ,, i' 'h J{ 1 �� . . .:, y:r.:yv:: :�:�l L) ll:�l'LLJ�' 1 ; 1 �;: r' rW o I ;7,C�' r ,' rl... II � }f.. � 1 {�l: ui�lu. �uJ . ,., .�„ ,,.;���. . c.... ... � ..�„ t;4;s �: C,:IothCS wrtsltcr 25.02 Installation Of backfvw preventer -- - ..__._...__.. .............,_..-..,,.•. •.,..,•..,.,•......,,..,.,_._•. „„,,,,,., .,-.,,.,,-.....,....•,,... ,,,w..., - -- -.._.... - _ .._. Dishwasher 25.02 _...._ ... .. ........................._.._ Drinking, fountain 25,02 Ejectors /sump 25.02 "i't "T'�'� :W. �hS, "fir MI`j' ?.71�r',rl,`'- ";:i��1 :P ':r, ',+:.I'i �i7!; - �tr�; �,a +: .,t� - ,,- .._., '--- - --.._— + f.+}:7 ' "'; w. / ,�r, i ' i I:r!�,l.li I'i'i $ � rlG1 l�i:j1. rii"±'{If�cj' ; 1:�,, ' j, %.J . y�, ., I :1 ,n N,.,w,,l.�. y ilr,�,!.: �Il1 (.LK(?..rrl� ' < ;' I �{I " {;,� i' a : � t '3s E x p ans i on lank 12.51 ,)I f4��, � � uL�y���!* � v �, ;,11 r �j,n 'I ,I �� /�.,�'�,�,1''�I Jq o { / `jG�1 `I�'� " u...a. � ., 1 ,JAbI V ielU,l 4 1 vJll I u 1 , ,, .'r I r 1 d. I , tip =.Jk %u dall,Ltti1: ....__._. _. " .. .. ..........,,. ,.._...,.,......,............., .,.....,.,.,.,.,,...,_....... Name: Howard I.ru!brr +ich Fixture/sewer tture/sewer cap 25.02 ._,,. „,,,,,,,,,,,,,,,,,,,,,,,.,,.. ._ ... Floor drain /floor sink /hub 25.02 Address: 12760 SW Glacier Lily Circle - --- -._ .-- ...,.,,..,.,_ _” ..- ,._,,...,..,, .,.,,.,.,. r __- r.".".,....,....., ,_,...,,,,,..,,M,,.._,__.,_.... — -- Oarhage disposal 25.02 City/State/ZIP; Tigard OR 9722 t "_,_,,,..„...• ......... ......................,,.,...., - -- -- --•— _... _ .......... ......_...._.,.,....._�. - - I - - Bose bib 2:5.02 25 „4LLi { r4:Ir•,. �r �.,., ,I:r, „�u:nv �i, °.. I.I , „tf ,,;,,:y.l �rI_; ^n. I,`MT ?Irr, "' ,y._ - ,..,. lee maker 12.51 oaf:' }'1(; ;: ft,y , .p I I ���i:ili� \i, o�F�:,, :;r :A�,!ii �r 111..5, .7 ,Tr .J,.,.,' ?�V�'1�.nray Vi i, ,.4Y':��1 ?�'�1�7 InterCeptorfgr , .;:01,13: r � :,p11t :C 121: u?r1 ':2'Y` j %:9i.!''!1 y �i,) i�0� v F A"A}i o ! ?rr�h} �� /• e:aSe bail , ue.,,wwt�a, 'l�� % h 4!u r rr� 4 ; t�i�l4�', _._...._..._ ....�...,.,.... 07 ________ Business name: Medical gas (value: $ ,„ ,-_,_,, ) Page 2 - - -... ... ,._,.,......_.........,..,.,,_,_ w....,,......, ........ .._.._._. - - -- - Printer 12,51 Contact name; ,.,„.,... ,... " ""....,.,... - - -- ..., - - - - __..._..._.. ._... ..................,,....,.. .,•..., ,.,,......,.. Roof d ra i n (commerr i a l 12.51 Address: Sink /basin/lavatory 25.02 . — _.- _._._,._, .,..,_.... Solar units (potable water) 62.54 Phone: ( } Fax: ; ( ) Tub /shower /shower pan 12.51 --- ..__.._..... ••....,.... " ................. -, .. , w W O rival Ismail: 2.5.02 .. r•r' , rvr., •. r, n i • ;' r, , -T• , ... .,; " d " i ; 'ii•' r ^3"'^ "' ,;,::. __...,.......__.._. --- -- ._ - ...,- _.... ' , 7 .• ".- o ; . ,a, r 1 ,,,}�i rt111, r " 751 \ if; 'lrit•T.. t ; ,Il . "i ,7 „ ; ; -..9 r' . .r «�t.;., r h,1 i ", " i'7. , Water closet . : ( :; 4 I 1 I)'N' 9 9 .. : , , lh i, �f , r ll llli ,,,/ I +,0 �~' tre 4 1 11 1 1.1 1 0? i'l(i I y III l rll , ,� 1 � y lt Gail •.,,..,.....,,,,,..,,.,.. _._._..... __ 5,(E,� 6 tl\'r �l, dla t;''�'fi 2 ,*,O'rr! +,rsM ll:(+r141V 11 °' 1 '214� 1 �i l :�^-L, 'u'aL ill'ly ! ir .�Win! Business name: Sunrise landscape Services, Inc. ping ---° ' °^ '° ° ° . _.W, .........__...._.__.._.. _ - Willer pipingli)W 56.29 Address: 26085 SW Chcbalenr Station Rd m,,.....,, ...,.,............-„,., .,,,, • ........................ Other: 15,02 City/Slate/ZAP: Sherwood OR 97140 Subtotal 'hone: (503) 538 -2386 Fax: (503) 538 -6867 Minimum permit fee: $72.50 72..50 20 n .,..,. w ,.,, ............... _ _ Plan review (2. ofperrnit foe) -- 8,70 1 (_5'.13 Lie.: .: 1.(.:13# 866:) i �. , .,m. Slate surcharge. l At oil fee) Authorize d tii nature; . L{l� "`�” Date: 5/21113 ? hIT pOMlnlr At r)tIC9llnnYtpi, mx T • A ,.,,.,., •, ,ti.„ TOTAi- I'1a2M1T h1:il: trite name; Stephanie Nicho ac if a par�all is nnl obla:nrd wah,n a days after it has boon accepted as complete. ,-y 3 - e o_3 — 3�/! " tcm sal by Trri -County 13milding Industry Sarv'r. i3 d.(4O LVfu; tdiu� \Panals■PLmu- I',xnlltnpp.duc 1Q©t /e9 So 440.4010T �.i !rZ /COiwta3) �� e,, 11111 . t" q (‘ ' \- J k. f ic'1